EFFECT OF “PICCHA BASTI” (Enema Therapy) IN MANAGEMENT OFULCERATIVE COLITIS – A CLINICAL REPORT

INTRODUCTION –Ulcerative colitis is a chronic disorder of unknown etiology characterized by inflammation limited to the colonic mucosa and by an intermittent relapsing clinical symptoms like -Diarrhea Rectal bleedingTenesmus Passes of mucousCrampy abdominal pain Loss of appetiteFever Weight loss

The peak age of onset of UC is between 15-30 yrs. A second peak occurs at the age of 60-70 yrs.

PATHOLOGY –In early stage of Ulcerative Colitis the mucosa is erythematous and have a fine granular surface but in more severe disease the mucosa is hemorrhagic, edematous and ulcerated. Due to epithelial regeneration pseudo polyps may be present in long standing conditions.

OBJECTIVE –To evaluate the efficacy of Piccha Basti along with Ayurvedic medicine in the treatment of Ulcerative Colitis.

PICCHA BASTI –We are using the modified drugs in Piccha Basti as explained below –Decoction (Kwatha) -

Udumbar – Ficus glomerata.Vata – Ficus bengalensis.Aswatha – Ficus religeosa.Madhuyasthi – Glycyrrhiza glabra.Madanphala – Randia dumetorum.

Past (Kalka) –Mocharasa – Gum of Bombax malabaricum.

Honey (Madhu) –Oil (Sneha) – Jatyadighrita.

Materials and methods –

Setting and study population -

After diagnosis by the standard clinical investigations like sigmoidoscopy, rectal biopsy and barium meal follow through x-ray study, though clinical examination was carried out to assess the status and duration of disease. Apart from above the detailed symptomatic clinical features like pain abdomen, frequency of diarrhea etc. and demographic profile was also recorded and evaluated.Patients attending the O.P.D. of the Arogya Ayurveda and Panchkarma, Jain Hospital, were screened. 20 patients of both sexes, with clinically confirmed Ulcerative colitis were enrolled for the study. All the 20 patients were treated with Piccha Basti for a period of 16 days along with Ayurvedic Medicines.

Summary and Conclusion –

The modern allopathic medicine is not having as specific treatment for Ulcerative Colitis. Moreover the present available preparations have limited role with very drastic and dangerous side effects to the other body organs. These drugs further destroys the metabolic physiological and psychological phenomena of the normal life. The assessment of results has been done on some subjective and objective parameters like pain abdomen, tenesmus, appetite, frequency of diarrhea per day, blood passes in stool, mucous present in stool, fever, weight loss, total leukocyte

Drugs used to make decoction

DecoctionPiccha Basti Procedure

count (TLC), differential count (DLC), erythrocyte sedimentation rate (ESR), hemoglobin percentage of blood (Hb%) and occult blood in stool.

Test of significance (Paired ‘t’ test)Before 1st course of treatment – After completion of treatment

Symptoms Mean ± SD ‘t’ p Value

Frequency of Diarrhea 2.70 ± 0.483 17.68 < 0.001 HS

Blood in stool 2.80 ± 0.422 21.00 < 0.001 HS

Mucous in stool 2.50 ± 0.527 15.00 < 0.001 HS

Pain abdomen 2.20 ± 0.422 16.50 < 0.001 HS

Tenesmus 2.20 ± 0.422 16.50 < 0.001 HS

Appetite 2.70 ± 0.483 17.68 < 0.001 HS

Fever 1.70 ± 0.483 11.13 < 0.001 HS

Weight loss 2.10 ± 0.316 21.00 < 0.001 HS

TLC 1280 ± 619.68 6.53 < 0.001 HS

ESR 15.70 ± 8.18 6.07 < 0.001 HS

Hemoglobin percentage - 3.04 ± 1.29 7.45 < 0.001 HS

1. The present study suggests that the Piccha Basti is highly effective in management of Ulcerative Colitis.

2. In the present study the mean scores of frequency of diarrhea, blood and mucous in stool, pain abdomen, tenesmus, appetite, fever, weight loss etc. are compared to before and after treatment is highly significant.

The present study entitled “The Effect of Piccha Basti in Management of Ulcerative Colitis - A Clinical Report” has fulfilled in its aims and objects. This study revealed that the Piccha Basti is highly effective in treating the Ulcerative Colitis.

For More Information Contact –

Dr. Pravin Verma (Consultant Ayurvedic Physician and Panchkarma Specialist)“Arogya” Ayurveda & panchkarmaJain HospitalPandeypur, Opposite Hanumanji MandirVaranasi-221 002, U.P., INDIA.Blogspot – www.arogyainlife.blogspot.comE. Mail – drpravinverma@yahoo.comPhone - +91-542-3252795 or +91-941 528 4466